ANDERSON GENERAL SURGERY, PC (NPI# 1629258470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629258470 |
| Entity Type | Organization |
| Organization Name | ANDERSON GENERAL SURGERY, PC |
| Practice Address |
1601 Medical Arts Blvd Suite 205 Anderson IN 46011-3458 |
| Mailing Address |
2001 N Granville Ave Muncie IN 47303-2110 |
| Practice Telephone | 7652984250 |
| Practice Fax Number | 7652984960 |
| Mailing Telephone | 7652840493 |
| Mailing Fax Number | 7652842434 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | MOHAMMAD REZA SIADATI (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 7652784227 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01048160A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
1601 MEDICAL ARTS BLVD SUITE 205 |
| City | ANDERSON |
| State | IN |
| Zip Code | 46011-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305419 | Richard Kelly Chambers | Internal Medicine | 1601 Medical Arts Blvd, Suite 203, Anderson, IN 46011-3459 | 2005-06-11 |
| 1265045967 | Haley Ruth Slusher | Dietitian, Registered | 1601 Medical Arts Blvd, Anderson, IN 46011-3458 | 2020-08-24 |
| 1285269977 | Joanna Louise Horsman | Nurse Practitioner | 1601 Medical Arts Blvd, Anderson, IN 46011-3458 | 2020-03-03 |
| 1437678372 | Jessica Mckinney | Pharmacist | 1601 Medical Arts Blvd, Anderson, IN 46011-3458 | 2017-09-12 |
| 1285178988 | Andrew Rider | Social Worker | 1601 Medical Arts Blvd, Ste 203, Anderson, IN 46011-3458 | 2016-12-14 |
| 1760924260 | Tyler Madere | Pharmacist | 1601 Medical Arts Blvd, Suite 203, Anderson, IN 46011-3458 | 2016-11-15 |
| 1891172797 | Anderson Oral and Maxillofacial Surgery | Dentist | 1601 Medical Arts Blvd, Suite 3, Anderson, IN 46011-3458 | 2015-04-29 |
| 1154735223 | Connect Hearing, Inc. | Audiologist | 1601 Medical Arts Blvd, Ste 50, Anderson, IN 46011-3458 | 2014-06-17 |
| 1487080644 | Jessica Marshall | Nurse Practitioner | 1601 Medical Arts Blvd, Suite 201, Anderson, IN 46011-3458 | 2013-09-19 |
| 1427480466 | Julia Anne St Clair | Nurse Practitioner | 1601 Medical Arts Blvd, Suite 102, Anderson, IN 46011-3458 | 2013-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662226 | Full Circle Family Solutions, LLC | Counselor | 909 Northwood Drive, Anderson, IN 46011 | 2019-10-31 |
| 1497186563 | Andrea C Rich | Social Worker | 1317 Winding Way, Anderson, IN 46011 | 2013-11-27 |
| 1093080848 | Franklin Keith Beeler | Family Medicine | 930 Summerlin Court, Anderson, IN 46011 | 2012-03-13 |
| 1063609642 | Christopher Place At Keystone Woods Associates, LLC | Assisted Living Facility | 2334 North Madison Ave, Anderson, IN 46011 | 2007-09-27 |
| 1720155187 | Garry L Smith Dds PC | Dentist | 1528 Medical Arts Blvd, Anderson, IN 46011 | 2006-11-29 |
| 1891711586 | Suzanne Obrien Beeson | Psychologist | 1210 Medical Arts. Blvd., Suite 208, Anderson, IN 46011 | 2006-07-14 |
| 1669471199 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1809 N Madison Ave, Anderson, IN 46011 | 2005-07-18 |
| 1265980742 | Andrew J Koehler | Counselor | 2010 Brentwood Dr, Anderson, IN 46011 | 2016-09-14 |
| 1902258866 | Audrey A. Dickerson | Physician Assistant | 1515 N Madison Ave, Anderson, IN 46011 | 2016-07-05 |
| 1104271790 | Mohammad Sami Bakdash | Internal Medicine | 1515 N Madison Ave, Anderson, IN 46011 | 2016-05-02 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457667453 | Anthony W. Daws M.d. | Surgery | 107 Broadbent Way, Anderson, SC 29625-1521 | 2010-08-27 |
| 1841464443 | Brian Michael Sadowski | Surgery | 2000 E Greenville St Ste 2500, Anderson, SC 29621 | 2008-04-15 |
| 1790739647 | Paul Mark Frassinelli | Surgery | 2000 E Greenville St Suite 2500, Anmed Healthpiedmont Surgical Associates, Anderson, SC 29621 | 2006-05-22 |
| 1700276185 | Anmed Health | Surgery | 2000 E Greenville St, Suite 2500, Anderson, SC 29621-1580 | 2015-01-23 |
| 1275807026 | Adam Harrison Beall | Surgery | 2000 E Greenville St, Suite 2500, Anderson, SC 29621-1580 | 2012-02-25 |
| 1396057154 | Anmed Health | Surgery | 2000 E Greenville St, Suite 2600, Anderson, SC 29621-1580 | 2010-07-09 |
| 1932430337 | Khalil G. Wakim Md | Surgery | 2101 Jackson St, Suite 105, Anderson, IN 46016-4388 | 2010-01-25 |
| 1477884856 | Ritchison Surgical LLC. | Surgery | 2015 Jackson St, Suite #105, Anderson, IN 46016-4337 | 2010-01-25 |
| 1144481383 | Peter Jeffrey Bechtel | Surgery | 2000 E Greenville St, Suite 2500, Anderson, SC 29621-1580 | 2008-06-20 |
| 1679762009 | Anderson Surgical Associates | Surgery | 703 N Fant St, Anderson, SC 29621-5705 | 2007-10-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.